MEDICARE: DR. BARBARA N VOSK PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1052	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04823	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1750360780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA N VOSK PH.D.

Provider Business Mailing Address
First Line	:	3710 BENSON DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7321
Country	:	US
Telephone Number	:	919-878-7800
Fax Number	:	919-878-9983

Provider Business Practice Location Address
First Line	:	3710 BENSON DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7321
Country	:	US
Telephone Number	:	919-878-7800
Fax Number	:	919-878-9983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/09/2007

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